Chantal Stith, MSN, APRN, PMHNP-BC
Nurse Practitioner in Charleston, SC. Individual provider (NPI-1).
NPI number1710698873
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1710698873
- Entity type
- Individual (NPI-1)
- Name
- Chantal Stith
- Credential
- MSN, APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2022
- Certification date
- Jul 10, 2024
- Last updated
- Jul 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 27891 | SC | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 240887 | SC | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 27891 | SC |
Practice location
65 Gadsden StCharleston, SC 29401-1145
Phone 607-373-6041
Mailing address
65 Gadsden StCharleston, SC 29401-1145
Other practice locations
3445 Ingleside Blvd
Ladson, SC 29456-4142
Ladson, SC 29456-4142
Phone 843-797-4200
100a Central Ave Ste 102
Goose Creek, SC 29445-2920
Goose Creek, SC 29445-2920
Phone 607-373-6041
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